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Medicaid State Plan Amendments

A Medicaid and CHIP state plan is an agreement between a state and the Federal government describing how that state administers its Medicaid and CHIP programs. It gives an assurance that a state will abide by Federal rules and may claim Federal matching funds for its program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative activities that are underway in the state.

When a state is planning to make a change to its program policies or operational approach, states send state plan amendments (SPAs) to the Centers for Medicare & Medicaid Services (CMS) for review and approval. States also submit SPAs to request permissible program changes, make corrections, or update their Medicaid or CHIP state plan with new information.

Persons with disabilities having problems accessing the SPA PDF files may call 410-786-0429 for assistance.

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Showing 15641 to 15650 of 15656 results
Transmittal Number: GU-02-001
State: Guam
Summary: Expands eligibility for categorically related eligibles up to 100% FPG, and implements changes to eligibility for the Section 1931 group.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: GU-02-002
State: Guam
Summary: Adds outpatient mental health services mammography, and pelvic exams, and to make a technical correction adjust the EPSDT age limit to 21 years.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: MA-01-006
State: Massachusetts
Summary: Acute Hospital Inpatient Payment Methods.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: NH-17-0001
State: New Hampshire
Summary: Increases the standards for the optional State supplementary payment program.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: OH-09-016
State: Ohio
Summary: Change in the State Plan to reflect provisions of Amended Substitute House Bill l (128th Ohio General Assembly) requiring nursing facilities (NFs) to arrange for therapy services for their residents in return for an additional per diem amount.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: TN-19-0001
State: Tennessee
Summary: Updates the designated single state agency authorization for state plan amendments.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: ME-22-0030
State: Maine
Summary: This amendment proposes to amend dental reimbursement, while expanding and enhancing covered dental services.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Reimbursement
Links:
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Transmittal Number: CO-22-0040
State: Colorado
Summary: increased federal financial participation (FFP) for newly-eligible individuals receiving postpartum coverage and further includes the addition of Attachment D, which describes the special circumstances and other proxy adjustments that are applied to account for

the proportion of individuals covered under the extended postpartum coverage option who would otherwise be eligible for coverage in the adult group and for the newly eligible FFP under section 1905(y) of the Social Security Act;
Approval Date:
Effective Date:
Topics:
  • Federal Financial Participation
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Transmittal Number: AL-23-0011
State: Alabama
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. This amendment continues to allow telehealth services to continue until May 31, 2023, originally approved in Disaster Relief SPA TN 20-0004.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
Links:
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Transmittal Number: IL-21-0022
State: Illinois
Summary: Updates the reimbursement immunizations for children under 21.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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